The Caries Management System: an evidence‐based preventive strategy for dental practitioners. Application for adults

In the absence of effective caries preventive methods, operative care became established as the means for caries control in general practice. Water fluoridation resulted in a declining caries incidence which decreased further following the advent of fluoridated toothpaste. The challenge today is to...

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Bibliographic Details
Published in:	Australian dental journal Vol. 53; no. 1; pp. 83 - 92
Main Authors:	Evans, RW, Pakdaman, A, Dennison, PJ, Howe, ELC
Format:	Journal Article
Language:	English
Published:	Oxford, UK Blackwell Publishing Ltd 01-03-2008 Wiley-Blackwell
Subjects:	Adult Biological and medical sciences Cariostatic Agents - therapeutic use Clinical Protocols Dental Care Dental caries Dental Caries - classification Dental Caries - prevention & control Dental Caries Susceptibility Dental Plaque - prevention & control Dentistry Evidence-Based Medicine evidence‐based care Facial bones, jaws, teeth, parodontium: diseases, semeiology Feeding Behavior fluoride Fluorides - therapeutic use Humans Medical sciences Non tumoral diseases non‐invasive management Oral Hygiene Otorhinolaryngology. Stomatology Patient Care Planning Patient Education as Topic Patient Satisfaction Periodontal Diseases - prevention & control Radiography, Bitewing risk Risk Factors Saliva - physiology Tooth Remineralization - methods Treatment Outcome Human Stomatology General practitioner non-invasive management Dental disease Evidence-based practice Dental carie Risk fluoride Dentistry Fluorides Evidence-based medicine Care Prevention Dental caries Treatment Risk factor Adult Strategy evidence-based care Tooth Application
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Summary:	In the absence of effective caries preventive methods, operative care became established as the means for caries control in general practice. Water fluoridation resulted in a declining caries incidence which decreased further following the advent of fluoridated toothpaste. The challenge today is to develop a non‐invasive model of practice that will sustain a low level of primary caries experience in the younger generation and reduce risk of caries experience in the older generations. The Caries Management System is a ten step non‐invasive strategy to arrest and remineralize early lesions. The governing principle of this system is that caries management must include consideration of the patient at risk, the status of each lesion, patient management, clinical management and monitoring. Both dental caries risk and treatment are managed according to a set of protocols that are applied at various steps throughout patient consultation and treatment. The anticipated outcome of implementing the Caries Management System in general dental practice is reduction in caries incidence and increased patient satisfaction. Since the attainment and maintenance of oral health is determined mainly by controlling both caries and periodontal disease, the implementation of the Caries Management System in general practice will promote both outcomes.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0045-0421 1834-7819
DOI:	10.1111/j.1834-7819.2007.00004.x